Endopyelotomy

Endopyelotomy is a medical procedure done for ureteropelvic junction (UPJ) obstruction. This is an incision procedure that involves the correction of a stenosed ureteropelvic junction by cutting from within with an instrument inserted through an endoscope.

Ureteropelvic junction obstruction is a condition brought about by a narrowing of the channel formed piece of the kidney (known as the renal pelvis) where the urine gathers before being conveyed to the bladder by tubes called ureters. The block tends to cause pain in the lower abdomen and can also lead to nausea, urinary contaminations and kidney stones. In a few patients the condition could likewise influence the working of the kidneys also. This methodology (endopyelotomy) expects to broaden the renal pelvis by embeddings little instruments either up through the urinary tract or down through the skin and into the kidney. The instruments are utilized to uproot the tissue that is creating the check by removing or blazing it or by applying laser.

What are the types of Obstraction

UPJ impediment is found in pretty nearly half of patients determined to have antenatal hydronephrosis. The male-to-female proportion of UPJ impediment is 3-4:1. The left kidney is more generally influenced than the right kidney. UPJ impediment is less regular in grown-ups than in youngsters yet is not uncommon in either populace. UPJ block is reciprocal in 10% of cases.

Indications of a UPJ obstacle are:

Flank torment – regularly exacerbated in the wake of devouring vast volumes of liquids, particularly liquor • Intermittent urinary tract diseases • Blood in pee (haematuria) • Once in a while, the swollen/impeded kidney can be felt in the flank area

Treatment Procedures

The impediment should be uprooted with the goal that pee can pass openly starting from the kidney to the bladder. This can be refined by a few methods:

Removing the UPJ impediment and joining the kidney onto the Ureter Know as “Pyeloplasty”. Pyeloplasty i.e. removing the impediment has the best results and goes on for the longest period. This can be accomplished through a Open Pyeloplasty or laparoscopic Pyeloplasty..

Making a cut in the UPJ impediment so it parts open and gets to be more extensive that way Know as Endopyelotomy. A cut in the UPJ impediment ('endopyelotomy') is less viable than removing it

through and through, however is conceivably superior to anything blasting it with an inflatable. In a few circumstances, it is hazardous in view of neighboring veins.

Blasting the block with a blow up ('inflatable dilatation'): Blasting the block with a blow up is snappy, the slightest obtrusive yet is less powerful and goes on for the briefest period. Besides, it creates scarring that can make restorative surgery more troublesome. For a few patients it is the best choice in light of the fact that weakness makes other treatment hazardous.